*
Enter your UTME/DE/Matric Number Here
*
Enter Your full name
*
v
Select Your Gender
*
v
Enter Your Date of Birth
*
Enter Your Phone Number
*
Enter your Home Address
*
v
Select Your State of Origin
*
Enter Your NIN Number
*
Enter the Full Name of Your Next of Kin
*
Enter the Phone Number of Your Next of Kin
*
Enter the Email Address of Your Next of Kin
*
v
Select Your Relationship with Next of Kin
*
v
Select faculty
*
v
Select your program of study
*
v
Select department
*
v
Select your current level
Upload your picture:
Browse and Upload in jpg format
*
Enter your working email address
*
Enter your desired Password
*
You must re-enter your password
Submit